Pincomb, Gwendolyn Alice
Pincomb, Gwendolyn Alice is an sole proprietor health care provider with primary practice located at 2525 E Broadway St Suite 202A, Helena MT 59601-8049. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Pincomb, Gwendolyn Alice can be contacted via phone (406) 457-4280.Contact Information
Primary practice address
2525 E Broadway St Suite 202A
Helena MT 59601-8049
Phone: (406) 457-4280
Fax: (406) 457-4278
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 10181 | Montana |
Profile Details
| NPI number | 1255408654 |
|---|---|
| LBN Legal business name | Pincomb, Gwendolyn Alice |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255408654 | NPPES |
| Montana | MEDICAID | 0073355 |
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